Role of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid and parathyroid surgery

doi:10.3969/j.issn.1006-7795.2017.04.026

Abstract

Abstract: The recurrent laryngeal nerve(RLN) injury is one of the important complications during the thyroid and parathyroid surgery, which can result in hoarseness and dyspnea. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve has already become the effective method to protect the recurrent laryngeal nerve during the thyroid and parathyroid surgery, which has developed from invasive electrode to noninvasive endotracheal intubation with electrode, and standardized procedures of IONM was proposed. Furthermore, the continuous intraoperative neuromonitorying (C-IONM) and the standardized monitoring procedure of external branch of superior laryngeal nerve (EBSLN) has been accepted by an increasing number of surgeons. The probable damage mechanisms are gradually demonstrated through IONM. It is an effective technique that IONM could be to assist surgeons to recognize RLN and reduce the risk of recurrent laryngeal nerve injury during thyroid or parathyroid surgery, especially in complicated operations and reoperations.It will be of great importance in the aspect of improving the operation procedure, making staged secondary/completion procedure strategy, and the development of low-volume surgeons.

Key words: intraoperative recurrent laryngeal nerve neuromonitoring, thyroid, parathyroid, surgery

CLC Number:

R653

Ling Yuwei, Kang Hua. Role of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid and parathyroid surgery[J]. Journal of Capital Medical University, 2017, 38(4): 626-630.

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